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General NPI Number Information
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NPI Number | 1033278460
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Entity Type | Individual
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Provider Name | TERRENCE E O'BRIEN RPH
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Gender | Male
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 11/15/2011
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Provider Practice Location Address
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Address Line | 900 COTTAGE GROVE RD, B5PHR CIGNA HEALTHCARE
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City | HARTFORD
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State | CT
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Zip | 06152
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Country | US
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Telephone | 860-226-8567
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Fax |
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Provider Business Mailing Address
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Address Line | 24 HENDRICKSON LN
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City | UNIONVILLE
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State | CT
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Zip | 06085-1091
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Country | US
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Telephone | 860-673-1640
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 8795
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License Number State | CT
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